Subgingival safe end dental bur
A new dental bur with specific dimensions that enable the bur to be used for cutting and trimming filling material under the gum tissues and between teeth. The bur includes a safe end. The bur also includes an angled flat cutting surface and an angled flat surface of the safe end.
The field of the invention is burs used in dentistry. A dental bur fits into a hand drill to cut the tooth and or restorative material.
BACKGROUNDTeeth are restored and built up with a hard composite resin material which is similar in hardness to tooth material and is also the same color as teeth.
This creates a problem in dentistry where one cannot cut away the composite resin material with a sharp cutting bur and know for sure whether or not the tooth is also being cut. This is due to the inability to see or feel the difference between the composite resin and the tooth material. Currently, dentists go by shape of the tooth, to know where they should cut the filling material.
However, in areas that are difficult to see, to prevent cutting into the tooth material, dental burs have been manufactured with safe end tips.
In all these cases the safe end meets the tooth on the same plane as the cutting surface to prevent the cutting of the tooth material at the join between the cutting surface and the safe end. The join 24 between the safe end and the cutting surface is shown in
The filling 33 is generally found above the gum tissues and so the prior safe end functions well to create a flush margin with the filling material above the gum tissues. However, there are problems if the dentist wants to create a margin of the filling material below the gum tissues with the current safe end burs.
The use of the prior art safe end burs shown in
Such a small ledge 35 may not be noticed in many areas of the tooth as it is almost microscopic in size. However, the microscopic ledge 35 can harbor bacteria.
Therefore, to cut a composite resin margin below the gum tissue that is perfectly flush to the tooth surface with no ledge, a new type of safe end is needed that will not leave a ledge.
The new safe end bur 120 also needs to be able to cut the filling material 133 below the gum tissues in a limited area of space. If the subgingival bur 120 is too small, it cannot cut efficiently and if it is too large, it cannot fit under the gum tissues without cutting the gum tissues.
The safe end 123 also has to provide tactile sense to the dentist. To create such tactile sense the safe end 123 cannot be too small or the dentist will have less ability to feel the soft root with the safe end, and yet at the same time the safe end 123 cannot be too big or it will not fit under the gum tissues.
To provide tactile sense to the dentist the flat surface 126 of the safe end 123 should not be less than 0.2 mm in length but is preferably 0.3 to 0.4 mm in length.
Also, it is preferred that such a safe end bur 120 be able to be used to trim composite resin margins between the teeth. Therefore, ideally the bur 120 is thin. However, when prototypes were made that were thin, in order to fit between the teeth more easily, it was found that the thin bur would dig into the composite when cutting the filling material 133 creating a corduroy surface instead of smoothly shaving the filling material 133.
Thicker burs do not gouge the surface when pressure is applied but can be used in a firm shaving action to create a smooth composite resin surface. However, a thick bur cannot fit between the teeth.
From testing prototypes for use between the teeth, it has been learned by the inventor that preferably the bur 120 has to fit between the teeth and extend between the teeth into the embrasure spaces without cutting the adjacent teeth for a working or cutting distance of about 5 mm. Therefore, it is discovered that for the most effective and widest application or use of the new safe end bur 120 that even 5 mm from the tip of the bur 120, the bur 120 still has to be narrow enough to fit between the embrasure spaces of the teeth.
If the new bur 120 is too thin it cannot cut efficiently and if it is too thick at 5 mm from the tip it cannot fit between the teeth. The angle of divergence of the sides of the bur 120 that will produce this small range of acceptability for the purpose of a sub-gingival bur 120 has been determined by the inventor. From testing and use in the mouth it has been found that the angle of divergence of the sides of the flat cutting surface 125 of the bur 120 with a preferred tip diameter of 0.5 mm is from 1.5 degrees to 3.5 degrees from the long axis of the bur 120 but preferably is 2.23 degrees. The functional range of this angle is so small that variance of over 0.75 degrees smaller or larger makes the bur 120 incapable of its desired use.
Creating a safe end 123 that is for use above the gum tissues is a simple matter. However, creating a safe end 123 to be used below the gum tissues and between teeth is difficult and requires numerous prototypes to be fabricated and used in trials to establish the best dimensions of the safe end 123 itself and the dimensions of the flat cutting surface 125 of the bur 120 to give the best performance possible.
After making numerous different safe end burs 120 and using them in the mouth on patients the inventor believes that the safe end bur 120 that functions best to overcome all the above requirements is as follows:
(1) The width of the tip of the safe end 123 is preferably 0.55 mm but could be from 0.35 mm to 0.7 mm.
(2) The length of the tip of the safe end 123 is preferably 0.5 mm but could be from 0.35 mm to 0.7 mm.
(3) The angle at the join 124 of the flat surface 126 of the safe end 123 and the flat cutting surface 125 is preferably 170 degrees but could be from 155 degrees to 177 degrees.
(4) The flat surface 126 of the safe end 123 is preferably 0.3 to 0.4 mm in length but should not be less than 0.2 mm.
(5) The angle of the flat cutting surface 125 to the long axis of the bur 120 is preferably 2.23 degrees but can be 1.5 degrees to 3.5 degrees.
Claims
1. A dental bur configured to be used in restorative dentistry for cutting and trimming a filling material under gum tissues and between teeth, the dental bur comprising:
- a flat cutting surface configured to cut and trim the filling material under the gum tissues and between the teeth; and
- a safe end non-cutting tip with a flat surface on the safe end,
- wherein the flat surface on the safe end is between 0.3 and 0.4 mm in length,
- wherein the flat cutting surface and the flat surface on the safe end meet such that the flat cutting surface is inclined towards a central axis of the bur at an angle between 157 to 177 degrees relative to the flat surface on the safe end,
- wherein the safe end non-cutting tip has a width from 0.35 mm to 0.7 mm and a length from 0.35 mm to 0.7 mm.
2. The dental bur according to claim 1, wherein the flat cutting surface diverges in a straight plane from the central axis of the bur from between 1.5 to 3.5 degrees.
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Type: Grant
Filed: Mar 29, 2019
Date of Patent: Apr 18, 2023
Patent Publication Number: 20200405443
Inventor: Christopher Morris (Brampton)
Primary Examiner: Heidi M Eide
Application Number: 16/979,516
